حالة سريرية
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A pig farmer visits his doctor with muscle aches, fever, and periorbital and facial edema.
These Symptoms were preceded 2 weeks earlier by an upset stomach and diarrhea.
Blood labs show eosinophilia, high IgE and, muscle enzymes.
What is the diagnosis
What is the treatment
There is another investigation could be made, what is it
These Symptoms were preceded 2 weeks earlier by an upset stomach and diarrhea.
Blood labs show eosinophilia, high IgE and, muscle enzymes.
What is the diagnosis



رجل مربي خنازير جاء إلى طبيبه وهو يعاني من آلام عضلية وحمى و وذمة وجه وأجفان .
هذه الأعراض سبقت قبل أسبوعين بــاضطرابات هضمية و اسهال.
الفحوض الدموية أظهرت ارتفاع في الحمضات والـIgE والانزيمات العضلية.
ما هو التشخيص وما هو العلاج
هناك استقصاء آخر يمكن اجراؤه ما هو
Wed, 2007-05-30 00:29

SAMO
السنة الخامسة
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It causes Myalgia and gastroenteritiis.
Larvae carried by blood and form fibrous cysts in skeletal muscles especially ( extraocular/ masseter/ tongue/ diaphram)
One of its caractaristic features is the periorbital edema
Its reservoir is pigs
It can be diagnosed by:
* eosinophilia
* striated muscle biopsy
* serology - for chronic infection
It can be treated by:
* mebendazole/thiobendazole for adult worms in small intestine
* no treatment to remove cystes from muscles
* steroids for sever myositis
important note:
Trichinosis is the most common parasitic cause of myocarditis
SOURCE: MICROCARDS
Salamat
nice idea
nice source
and nice manager ( i mean you SAMO)
Salamat